APPROVED = a Majority of subcommittee members present voted yes on the recommendation

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1 Public Health Subcommittee Meeting Voting Record APPROVED = a Majority of subcommittee members present voted yes on the recommendation Listed in the order voted on; Establish a consistent product labeling requirement across Medical and Adult use labels R2: APPROVED Unanimously Include a requirement for a list of solvents and chemicals used during the extraction process for all concentrates R3: APPROVED Unanimously Define bright colors precisely R4: APPROVED Unanimously The CNB should work with the Department of Public Health to review testing variance process on THC testing of MIPs in other states, particularly Colorado R5: NOT APPROVED (3 Yes, 2 Abstain, 3 No) A maximum of 100 mg of active THC per package for Adult Use edible marijuana products Initially tabled and returned to vote at end of meeting; Jaime Lewis, Yes; Horace Small, No; Michael LaTulippe, No; Sharon Levy, Yes; Alan Balsam, Abstain; John Carmichael, Yes; Nichole Snow, No; Lindsey Tucker, Abstain

2 R6: APPROVED (5 Yes, 1 Abstain, 1 No) Marking or Stamping edible products where practicable to indicate the edible product contains THC Jaime Lewis, Yes; Horace Small, Yes; Michael LaTulippe, No; Alan Balsam, Yes; John Carmichael, Yes; Nichole Snow, Abstain; Lindsey Tucker, Yes R7: NOT APPROVED (3 Yes, 1 Abstain, 4 No) Require that for all THC products serving size portions must be individually wrapped and labelled Alan Balsam, Abstain; John Carmichael, Yes; Nichole Snow, No; Lindsey Tucker, Yes; Jaime Lewis, No; Horace Small, No; Michael LaTulippe, No; Sharon Levy, Yes R1: APPROVED (6 Yes, 1 Abstain, 1 No) The CNB should work with Department of Public Health to determine whether there is a need for a limit on potency Jaime Lewis, Yes; Horace Small, No; Michael LaTulippe, Yes; Sharon Levy, Abstain; Alan Balsam, Yes; John Carmichael, Yes; R2: NOT APPROVED (1 Yes, 3 Abstain, 4 No) The CNB should work the Department of Public health to define high potency THC and prohibit the sale of high-potency THC marijuana or marijuana-infused products Jaime Lewis, No; Horace Small, No; Michael LaTulippe, No; Sharon Levy, Yes; Alan Balsam, Abstain; John Carmichael, Abstain (due to the language); Nichole Snow, No; Lindsey Tucker, Abstain R3: APPROVED Unanimously The CCC should consider inclusion of other cannabinoids for both labeling and testing.

3 R1: APPROVED (6 Yes, 2 No) Maintain the ability for patients to receive discounts. Now that Adult-Use marijuana is available to adult consumers, RMDs should now supplement costs for discounts that they provide to patients to lower the costs for their medicine. Jaime Lewis, Yes; Horace Small, Yes; Michael LaTulippe, Yes; Sharon Levy, No; Alan Balsam, Yes; John Carmichael, Yes; Nichole Snow, Yes; Lindsey Tucker, No R2: APPROVED Unanimously Establish an easily accessible process for the public to report marijuana products or advertising that they believe appear to be targeted to children or adolescents R4: APPROVED Unanimously Prohibit the use of non-cannabis derived additives in vaping products R5: APPROVED (5 Yes, 1 Abstain, 2 No) Require that all new THC products be approved prior to coming to market Jaime Lewis, No; Horace Small, Abstain; Michael LaTulippe, No; Sharon Levy, Yes; Alan Balsam, Yes; John Carmichael, Yes; Adopt all Statutory Provisions of MGL Ch. 94G(4)(a1/2)(xxix). with acknowledgement that this is already Statute

4 R2: APPROVED Unanimously Adopt the following Medical Marijuana regulations for Marketing and Advertising to adult-use licensees. 105 CMR (L)(2) Regulate illuminated signage 105 CMR (L)(4) Prohibit exterior graphics 105 CMR (L)(9) Limit product to Limited Access Areas R3: APPROVED Unanimously Prohibit marijuana operators from use of medical symbols or claims about the medicinal values of their product in their marketing and advertising R4: APPROVED Unanimously Prohibit marijuana operators from the use of any statement, design, representation, picture, or illustration related to the safety or efficacy of marijuana unless supported by substantial evidence or substantial clinical data with reasonable scientific rigor, which shall be made available upon request of a registrant or the Department R5: APPROVED Unanimously Require an analysis of marketing materials to ensure equity across communities with no unintended concentration of materials towards any certain community, with the goal of preventing and or eliminating micro-targeting.

5 Establish a distinct and designated source of funding to be allocated to support prevention and education and program evaluation regarding the potential risks of cannabis for children and adolescents. R2: APPROVED Unanimously Establish a distinct and designated source of funding for prevention and intervention and treatment for marijuana related public health concerns, including marijuana use disorders R3: APPROVED Unanimously Establish a distinct and designated source of funding for data collection and monitoring of marijuana related public health concerns, including marijuana use disorders The Cannabis Control Commission should ensure the availability of a CME and CEU accredited curriculum for practicing clinicians on the endo-cannabinoid system of the human body, phytocannabinoids, synthetic cannabinoids, and cannabis interactions with other drugs commonly prescribed.

6 R2: APPROVED Unanimously The Commission should ensure that health professionals have access to high quality training programs so that they can develop the expertise to adequately counsel their patients across the lifespan on the health effects of marijuana use. The Commission should prohibit alcohol, tobacco, or other drugs from being purchased or consumed within all marijuana establishments. R2: APPROVED Unanimously The Commission should develop an educational campaign with the Department of Public Health designed for home users on the amplified effects of combining cannabis with other drugs, tobacco, and alcohol. The Commission should require Cooperatives to abide by the same security standards, disposal standards, and municipal requirements as any other marijuana establishment that interacts with the plant directly and engages in cultivation activities, wholesaling, and transport of cannabis.

7 R2: APPROVED Unanimously The Commission should work with the Department of Agricultural Resources and the Department of Public Health on developing laboratory testing and pesticide standards for outdoor and greenhouse marijuana cultivation. The Commission should work with the Department of Environmental protection to develop disposal standards Designee Jeremiah MacKinnon for The Commission should develop occupational standards and safety guidelines in coordination with the Executive Office of Labor and Workforce Development for employees working within all types of marijuana establishments. Designee Jeremiah MacKinnon for R1: APPROVED (7 Yes, 1 Abstain) Co-located Marijuana Establishments must maintain sufficient inventory for sale to Registered Qualified Patients. Designee Jeremiah MacKinnon for Nichole Snow, Yes; Lindsey Tucker, Abstain

8 Establish a distinct and designated source of funding for research Designee Jeremiah MacKinnon for The Commission should regulate serving sizes of cannabis within a marijuana establishment where cannabis is allowed to be consumed on premises. Designee Jeremiah MacKinnon for R2: APPROVED Unanimously The Commission should mandate strong air ventilation standards for marijuana establishments where cannabis smoking or vaporizing will take place Designee Jeremiah MacKinnon for R3: APPROVED Unanimously The Commission should develop standards to protect employees from exposure to cannabis Designee Jeremiah MacKinnon for R4: APPROVED (7 Yes, 1 Abstain) The Commission should prohibit employees of marijuana establishments around cannabis smoke and cannabis vapor to operate heavy machinery including kitchen equipment. Designee Jeremiah MacKinnon for Nichole Snow, Yes; Lindsey Tucker, Abstain

9 R5: APPROVED (7 Yes, 1 Abstain) The Commission should mandate marijuana establishments where cannabis is consumed use reusable packaging that cannot be removed from the premises by the consumer. Designee Jeremiah MacKinnon for Nichole Snow, Yes; Lindsey Tucker, Abstain R6: APPROVED (7 Yes, 1 Abstain) The Commission should work with the Department of Public Health to develop appropriate materials for within marijuana establishments where cannabis is consumed to detail the dangers of driving under the influence, penalties, designated drivers, as well as how to contact transportation services like cabs and ride sharing services. Designee Jeremiah MacKinnon for Nichole Snow, Yes; Lindsey Tucker, Abstain R7: APPROVED Unanimously The Commission should work with the Department of Public Health to develop appropriate materials for within marijuana establishments where cannabis is consumed to detail how consumers can get help with substance use disorders. Designee Jeremiah MacKinnon for R2: APPROVED (7 Yes, 1 Abstain) The Cannabis Control Commission should establish per transaction sales limits for marijuana, concentrates, edibles, beverages so that the total does not exceed one ounce or its equivalent. Designee Jeremiah MacKinnon for

10 R2: NOT APPROVED (3 Yes, 5 Abstain) The Commission should mandate that edible marijuana products with over 100mg in 10mg servings are individually packaged and wrapped into 100mg increments. Jaime Lewis, Abstain; Horace Small, Yes; Michael LaTulippe, Yes; Sharon Levy, Abstain; Alan Balsam, Abstain; John Carmichael, Abstain; Designee Jeremiah MacKinnon for Nichole Snow, Yes; Lindsey Tucker, Abstain

Public Commission Meeting December 5, 2017

CANNABIS CONTROL COMMISSION Public Commission Meeting December 5, 2017 10:30 a.m. Minihan Conference Room Hurley Building 19 Staniford Street Boston, MA This presentation has not been reviewed or approved